一位剛被診斷為末期癌症的個案告訴護理師：「我不知道為什麼還要吃藥，反正我都要死了。」護理師最合適的治療性回應為何？
A nurse is interviewing a client recently diagnosed with terminal cancer. The client states, 'I don't know why I bother taking my medicine; I'm going to die anyway.' What is the most appropriate therapeutic response by the nurse?
- AYou seem to feel that your situation is hopeless✓ 正解你似乎覺得你的狀況沒有希望
- BIt is important to keep taking your medication so you don't feel pain繼續服藥很重要，這樣你就不會感到疼痛
- CWould you like me to call the chaplain to talk about these feelings?你想讓我聯絡牧師，和你談談這些感受嗎？
- DDon't say that; you still have a lot to live for別這麼說；你還有許多值得活下去的理由
此回應運用了反映法（Reflecting），直接回應個案的情緒感受，鼓勵個案繼續談論內心的絕望。B 選項太過說教；D 選項為虛假的樂觀，否定了個案的真實感受；C 選項過早轉介，未先進行有效的護理溝通。在心理護理中，同理心與反映個案感受是建立信賴關係的基石。
Reflecting the client's feelings by acknowledging their sense of hopelessness encourages open communication and validates their emotional experience. This therapeutic approach builds trust, whereas offering false reassurance or prematurely referring the client avoids addressing their immediate psychological distress.
美國護理師較強調治療性溝通技巧（Therapeutic Communication）；台灣護理師較忙碌，常直接以衛教或轉介處理，較少進行深度情感交流。